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General NPI Number Information
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NPI Number | 1063698959
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Entity Type | Organization
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Legal Business Name | NAIM T NAZHA MD PC
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 801 NEW ROAD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1648
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Country | US
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Telephone | 609-407-5055
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Fax | 609-407-5056
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Provider Business Mailing Address
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Address Line | 411 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1648
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Country | US
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Telephone | 609-383-6033
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Fax | 609-383-1548
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Authorized Official
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Title or Position | MD
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Name | NAIM TOUFIC NAZHA
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Credential |
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Telephone | 609-383-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA04569800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 24179
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 24179
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 24179
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 24179
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA04569800
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License Number State | NJ
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